From laparoscopic to open Kasai portoenterostomy: the outcome after reintroduction of open Kasai portoenterostomy in infant with biliary atresia
Purpose Apparently superior result was observed after open Kasai portoenterostomy in infant with biliary atresia. Our institute stopped performing laparoscopic portoenterostomy since 2007. We aimed to investigate the outcome after reintroduction of open portoenterostomy. Methods 27 non-syndromic inf...
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| Veröffentlicht in: | Pediatric surgery international 2014-06, Vol.30 (6), p.605-608 |
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| creator | Chan, Kin Wai E. Lee, Kim Hung Wong, Hei Yi V. Tsui, Siu Yan B. Wong, Yuen Shan Pang, Kit Yi K. Mou, Jennifer Wai Cheung Tam, Yuk Him |
| description | Purpose
Apparently superior result was observed after open Kasai portoenterostomy in infant with biliary atresia. Our institute stopped performing laparoscopic portoenterostomy since 2007. We aimed to investigate the outcome after reintroduction of open portoenterostomy.
Methods
27 non-syndromic infants underwent open Kasai portoenterostomy from 2007 to 2012. The age and the sex of the patient, the bilirubin level before the operation, the early clearance of jaundice (total bilirubin |
| doi_str_mv | 10.1007/s00383-014-3499-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1526126852</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3305897051</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-a4995abb85f0efd190a04bf479320c18fe9e5726c9684d0369c4cfaf7a36e4323</originalsourceid><addsrcrecordid>eNp9kU9rFTEUxYMo9ln9AG4k4Kab0Zt_kxl3UmwVC93Udcjk3diUmWRMMki_hR_ZPF4VERQuZHF-99wcDiEvGbxhAPptARCD6IDJTshx7NQjsmNS6G4cmHhMdsD02IFQwwl5VsodAAyiH5-SEy4157qHHflxkdNCZ7vanIpLa3C0JppWjPSzLTbQNeWaMFZsek3L_Ttab5Gmrbq0ILW-CTRjiDWn_eZqSJEm_z8DGmIbb2Ol30O9pVOYg8331NaMJdjn5Im3c8EXD-8p-XLx4eb8Y3d1ffnp_P1V54TmtbMtr7LTNCgP6PdsBAty8lKPgoNjg8cRlea9G_tB7qHFdtJ567UVPUrBxSk5O_quOX3bsFSzhOJwnm3EtBXDFO8Z7wd1QF__hd6lLcf2uwOluOy5YI1iR8q1oCWjN2sOS0tmGJhDXeZYl2l1mUNdRrWdVw_O27Tg_vfGr34awI9AaVL8ivmP0_90_Qk8e6MV</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1525246231</pqid></control><display><type>article</type><title>From laparoscopic to open Kasai portoenterostomy: the outcome after reintroduction of open Kasai portoenterostomy in infant with biliary atresia</title><source>MEDLINE</source><source>SpringerLink (Online service)</source><creator>Chan, Kin Wai E. ; Lee, Kim Hung ; Wong, Hei Yi V. ; Tsui, Siu Yan B. ; Wong, Yuen Shan ; Pang, Kit Yi K. ; Mou, Jennifer Wai Cheung ; Tam, Yuk Him</creator><creatorcontrib>Chan, Kin Wai E. ; Lee, Kim Hung ; Wong, Hei Yi V. ; Tsui, Siu Yan B. ; Wong, Yuen Shan ; Pang, Kit Yi K. ; Mou, Jennifer Wai Cheung ; Tam, Yuk Him</creatorcontrib><description>Purpose
Apparently superior result was observed after open Kasai portoenterostomy in infant with biliary atresia. Our institute stopped performing laparoscopic portoenterostomy since 2007. We aimed to investigate the outcome after reintroduction of open portoenterostomy.
Methods
27 non-syndromic infants underwent open Kasai portoenterostomy from 2007 to 2012. The age and the sex of the patient, the bilirubin level before the operation, the early clearance of jaundice (total bilirubin <20 μmol/L within 6 month of portoenterostomy), the native liver survival at 2 years after the operation were reviewed. The results were retrospectively compared with all 16 infants who underwent laparoscopic Kasai portoenterostomy before 2007.
Results
All infants had type III biliary atresia. No statistical difference was observed regarding the age at operation and the pre-operative bilirubin level. The early clearance of jaundice rate was 81 % (22/27) after open operation and was 50 % (8/16) after laparoscopic operation (
p
= 0.03). At 2 years after the operation, the native liver survival was 81 % (22/27) after open operation and was 50 % (8/16) after laparoscopic operation (
p
= 0.03).
Conclusion
Reintroduction of open Kasai portoenterostomy was associated with superior early clearance of jaundice rate and 2-year native liver survival rate.</description><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-014-3499-5</identifier><identifier>PMID: 24722760</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Biliary Atresia - surgery ; Bilirubin - analysis ; Biomarkers - analysis ; Female ; Humans ; Infant ; Laparoscopy - methods ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Pediatric Surgery ; Pediatrics ; Portoenterostomy, Hepatic - methods ; Surgery ; Survival Rate ; Treatment Outcome</subject><ispartof>Pediatric surgery international, 2014-06, Vol.30 (6), p.605-608</ispartof><rights>Springer-Verlag Berlin Heidelberg 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-a4995abb85f0efd190a04bf479320c18fe9e5726c9684d0369c4cfaf7a36e4323</citedby><cites>FETCH-LOGICAL-c372t-a4995abb85f0efd190a04bf479320c18fe9e5726c9684d0369c4cfaf7a36e4323</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-014-3499-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-014-3499-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24722760$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chan, Kin Wai E.</creatorcontrib><creatorcontrib>Lee, Kim Hung</creatorcontrib><creatorcontrib>Wong, Hei Yi V.</creatorcontrib><creatorcontrib>Tsui, Siu Yan B.</creatorcontrib><creatorcontrib>Wong, Yuen Shan</creatorcontrib><creatorcontrib>Pang, Kit Yi K.</creatorcontrib><creatorcontrib>Mou, Jennifer Wai Cheung</creatorcontrib><creatorcontrib>Tam, Yuk Him</creatorcontrib><title>From laparoscopic to open Kasai portoenterostomy: the outcome after reintroduction of open Kasai portoenterostomy in infant with biliary atresia</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Purpose
Apparently superior result was observed after open Kasai portoenterostomy in infant with biliary atresia. Our institute stopped performing laparoscopic portoenterostomy since 2007. We aimed to investigate the outcome after reintroduction of open portoenterostomy.
Methods
27 non-syndromic infants underwent open Kasai portoenterostomy from 2007 to 2012. The age and the sex of the patient, the bilirubin level before the operation, the early clearance of jaundice (total bilirubin <20 μmol/L within 6 month of portoenterostomy), the native liver survival at 2 years after the operation were reviewed. The results were retrospectively compared with all 16 infants who underwent laparoscopic Kasai portoenterostomy before 2007.
Results
All infants had type III biliary atresia. No statistical difference was observed regarding the age at operation and the pre-operative bilirubin level. The early clearance of jaundice rate was 81 % (22/27) after open operation and was 50 % (8/16) after laparoscopic operation (
p
= 0.03). At 2 years after the operation, the native liver survival was 81 % (22/27) after open operation and was 50 % (8/16) after laparoscopic operation (
p
= 0.03).
Conclusion
Reintroduction of open Kasai portoenterostomy was associated with superior early clearance of jaundice rate and 2-year native liver survival rate.</description><subject>Biliary Atresia - surgery</subject><subject>Bilirubin - analysis</subject><subject>Biomarkers - analysis</subject><subject>Female</subject><subject>Humans</subject><subject>Infant</subject><subject>Laparoscopy - methods</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Portoenterostomy, Hepatic - methods</subject><subject>Surgery</subject><subject>Survival Rate</subject><subject>Treatment Outcome</subject><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kU9rFTEUxYMo9ln9AG4k4Kab0Zt_kxl3UmwVC93Udcjk3diUmWRMMki_hR_ZPF4VERQuZHF-99wcDiEvGbxhAPptARCD6IDJTshx7NQjsmNS6G4cmHhMdsD02IFQwwl5VsodAAyiH5-SEy4157qHHflxkdNCZ7vanIpLa3C0JppWjPSzLTbQNeWaMFZsek3L_Ttab5Gmrbq0ILW-CTRjiDWn_eZqSJEm_z8DGmIbb2Ol30O9pVOYg8331NaMJdjn5Im3c8EXD-8p-XLx4eb8Y3d1ffnp_P1V54TmtbMtr7LTNCgP6PdsBAty8lKPgoNjg8cRlea9G_tB7qHFdtJ567UVPUrBxSk5O_quOX3bsFSzhOJwnm3EtBXDFO8Z7wd1QF__hd6lLcf2uwOluOy5YI1iR8q1oCWjN2sOS0tmGJhDXeZYl2l1mUNdRrWdVw_O27Tg_vfGr34awI9AaVL8ivmP0_90_Qk8e6MV</recordid><startdate>20140601</startdate><enddate>20140601</enddate><creator>Chan, Kin Wai E.</creator><creator>Lee, Kim Hung</creator><creator>Wong, Hei Yi V.</creator><creator>Tsui, Siu Yan B.</creator><creator>Wong, Yuen Shan</creator><creator>Pang, Kit Yi K.</creator><creator>Mou, Jennifer Wai Cheung</creator><creator>Tam, Yuk Him</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PJZUB</scope><scope>PKEHL</scope><scope>PPXIY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>20140601</creationdate><title>From laparoscopic to open Kasai portoenterostomy: the outcome after reintroduction of open Kasai portoenterostomy in infant with biliary atresia</title><author>Chan, Kin Wai E. ; Lee, Kim Hung ; Wong, Hei Yi V. ; Tsui, Siu Yan B. ; Wong, Yuen Shan ; Pang, Kit Yi K. ; Mou, Jennifer Wai Cheung ; Tam, Yuk Him</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-a4995abb85f0efd190a04bf479320c18fe9e5726c9684d0369c4cfaf7a36e4323</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Biliary Atresia - surgery</topic><topic>Bilirubin - analysis</topic><topic>Biomarkers - analysis</topic><topic>Female</topic><topic>Humans</topic><topic>Infant</topic><topic>Laparoscopy - methods</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Portoenterostomy, Hepatic - methods</topic><topic>Surgery</topic><topic>Survival Rate</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chan, Kin Wai E.</creatorcontrib><creatorcontrib>Lee, Kim Hung</creatorcontrib><creatorcontrib>Wong, Hei Yi V.</creatorcontrib><creatorcontrib>Tsui, Siu Yan B.</creatorcontrib><creatorcontrib>Wong, Yuen Shan</creatorcontrib><creatorcontrib>Pang, Kit Yi K.</creatorcontrib><creatorcontrib>Mou, Jennifer Wai Cheung</creatorcontrib><creatorcontrib>Tam, Yuk Him</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Family Health Database (Proquest)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest Central (New)</collection><collection>ProQuest One Academic (New)</collection><collection>ProQuest Health & Medical Research Collection</collection><collection>ProQuest One Academic Middle East (New)</collection><collection>ProQuest One Health & Nursing</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chan, Kin Wai E.</au><au>Lee, Kim Hung</au><au>Wong, Hei Yi V.</au><au>Tsui, Siu Yan B.</au><au>Wong, Yuen Shan</au><au>Pang, Kit Yi K.</au><au>Mou, Jennifer Wai Cheung</au><au>Tam, Yuk Him</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>From laparoscopic to open Kasai portoenterostomy: the outcome after reintroduction of open Kasai portoenterostomy in infant with biliary atresia</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2014-06-01</date><risdate>2014</risdate><volume>30</volume><issue>6</issue><spage>605</spage><epage>608</epage><pages>605-608</pages><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Purpose
Apparently superior result was observed after open Kasai portoenterostomy in infant with biliary atresia. Our institute stopped performing laparoscopic portoenterostomy since 2007. We aimed to investigate the outcome after reintroduction of open portoenterostomy.
Methods
27 non-syndromic infants underwent open Kasai portoenterostomy from 2007 to 2012. The age and the sex of the patient, the bilirubin level before the operation, the early clearance of jaundice (total bilirubin <20 μmol/L within 6 month of portoenterostomy), the native liver survival at 2 years after the operation were reviewed. The results were retrospectively compared with all 16 infants who underwent laparoscopic Kasai portoenterostomy before 2007.
Results
All infants had type III biliary atresia. No statistical difference was observed regarding the age at operation and the pre-operative bilirubin level. The early clearance of jaundice rate was 81 % (22/27) after open operation and was 50 % (8/16) after laparoscopic operation (
p
= 0.03). At 2 years after the operation, the native liver survival was 81 % (22/27) after open operation and was 50 % (8/16) after laparoscopic operation (
p
= 0.03).
Conclusion
Reintroduction of open Kasai portoenterostomy was associated with superior early clearance of jaundice rate and 2-year native liver survival rate.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>24722760</pmid><doi>10.1007/s00383-014-3499-5</doi><tpages>4</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0179-0358 |
| ispartof | Pediatric surgery international, 2014-06, Vol.30 (6), p.605-608 |
| issn | 0179-0358 1437-9813 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1526126852 |
| source | MEDLINE; SpringerLink (Online service) |
| subjects | Biliary Atresia - surgery Bilirubin - analysis Biomarkers - analysis Female Humans Infant Laparoscopy - methods Male Medicine Medicine & Public Health Original Article Pediatric Surgery Pediatrics Portoenterostomy, Hepatic - methods Surgery Survival Rate Treatment Outcome |
| title | From laparoscopic to open Kasai portoenterostomy: the outcome after reintroduction of open Kasai portoenterostomy in infant with biliary atresia |
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